FDA Adverse Event Malfunction Summary report: N

INTELLISPACE PERINATAL K SMALL ARCH.

MDR report key: 19642900 · Received July 1, 2024

Report

Report Number
9610816-2024-00386
Event Type
Malfunction
Date Received
July 1, 2024
Date of Event
June 4, 2024
Report Date
September 20, 2024
Manufacturer
PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH
Product Code
HGM
UDI-DI
00884838084490
PMA / PMN Number
K100420
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PHILIPS IS IN THE PROCESS OF OBTAINING ADDITIONAL INFORMATION CONCERNING THIS EVENT AND THE COMPLAINT IS STILL UNDER INVESTIGATION. A FINAL REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE. REPORTING INSTITUTION PHONE # (B)(6). REPORTER PHONE # (B)(6). REPORTING ADDRESS STATE (B)(6).

Additional Manufacturer Narrative · 0

A PHILIPS SOLUTION CENTER LEADER (SCL) SPOKE WITH ONSITE PERSONAL TO EVALUATE THE DEVICE IN QUESTION. THE SCL INDICATED DURING AN EVALUATION OF THE SYSTEM THAT THE PATIENT MEASUREMENT WAS NOT CAUSED BY THE SYSTEM BUT BY A USER MISUNDERSTANDING. THE SCL EXPLAINED TO THE CUSTOMER HOW THE APPLICATION IS INTENDED TO WORK AND THAT THERE IS A DIFFERENCE BETWEEN HOW FETAL MONITOR OPERATES AND HOW SOFTWARE IS WORKING.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT THE FETAL HEART RATE WAS NOT ABLE TO BE MEASURED. THE DEVICE WAS IN USE ON PATIENT AT TIME OF EVENT, THERE WAS NO ADVERSE EVENT REPORTED.

Description of Event or Problem · 0

PHILIPS RECEIVED A COMPLAINT ON THE INTELLISPACE PERINATAL K SMALL ARCH DISPLAYS INACCURATE HEART RATE. THE DEVICE WAS IN USE MONITORING A PATIENT AT THE TIME OF THE EVENT. NO ADVERSE EVENT INVOLVING A PATIENT OR USER WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2214200 INTELLISPACE PERINATAL K SMALL ARCH. INTELLISPACE PERINATAL K SMALL ARCH. HGM PHILIPS MEDIZIN SYSTEME BÖBLINGEN GMBH 867062 00884838084490

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown